Untitled_3413

Applicant IL
State: {Applicant State:2} Date of Application: 11/10/2020 Referred by: Other
First name: {First Name:98} Last name: {Last Name:97} First name 2: {First Name 2:94} Last name 2: {Last Name 2:93}
Street: {Street Address:3}
City: {City:4} State: {State:5} Zip: {Zip:6}

Ages interested in:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:

Previous dog owner?
 No
 
Dog 1
 
Dog 1 name:
 {Dog Name (Most recent/ current first):24}
 
Dog description:
 {Description of Dog:25}
 
How long owned?
 {Length of time owned:26}
 
Where is this dog now?
 {Where is this dog now? (Explain if you no longer have the dog):37}
  Dog 2
 
Dog 2 name:
 {Dog Name (Most recent/ current first):30}
 
Dog description:
 {Description of Dog:33}
 
How long owned?
 {Length of time owned:35}
 
Where is the dog now?
 {Where is this dog now? (Explain if you no longer have the dog):39}
  Dog 3
 
Dog 3 name:
 {Dog Name (Most recent/ current first):29}
 
Dog description:
 {Description of Dog:32}
 
How long owned?
 {Length of time owned:36}
 
Where is dog now?
 {Where is this dog now? (Explain if you no longer have the dog):27}
  Dog 4
 
Dog 4 name:
 {Dog Name (Most recent/ current first):28}
 
Dog description:
 {Description of Dog:31}
 
How long owned?
 {Length of time owned:34}
Where is this dog now? {Where is this dog now? (Explain if you no longer have the dog):38}

Who is this dog for?

 Myself and my son (9 years old). We have one cat (4 year old Korat). I am currently renting, but I am in the process of buying this house.

Why do you want a Pembroke?
 My son was always very small and skittish for his age. He didn't like dogs for a long time because family members' dogs are large (German Shepherd, Lab) and he was intimidated by their size and energy level. When he was about 4 I dog-sat a corgi. It was the first dog he loved. He chased the corgi and the corgi chased him. That corgi made him open up to other dogs because it showed him that they are gentle and fun. Ever since then, we have had more good experiences with corgis and I always felt it would be the first dog I'd like to get when we were settled.

Activities planned with Pembroke:
 There are several great dog parks in Sheboygan and Manitowoc we've visited with friends. I would definitely take our dog to local parks, camping, and for daily walks.

Aware that Pembrokes are busy, noisy dogs?
 Yes

Money for basic care?

 Yes

Money for unforeseen medical expenses?
 Yes

Willing to house train?
 Yes
Willing to do formal training? Yes

Do you have a veterinarian?

 Yes

Vet contact info:
 {If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52}

Will handle mistakes Pembroke makes like this: 		Sternly use short verbal commands to signify it is not acceptable: "No" "Off" etc.
Follow up with the correction: take them outside if it was an accident, possibly kennel for a short period if it is damage (chewing, etc).

Discipline:
 Verbal commands and visual demonstrations of the correction

Where would Pembroke spend the majority of the time:
 Inside the house. We work and school from home 3/5 days a week. On the 2 days I go into the office I can come home to let out on lunch, meaning there would only be 4 hours maximum home alone.

Discipline:
 Verbal commands and visual demonstrations of the correction
Where would Pembroke spend the majority of the time: Inside the house. We work and school from home 3/5 days a week. On the 2 days I go into the office I can come home to let out on lunch, meaning there would only be 4 hours maximum home alone.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, 5/7 days a week.

Where would dog eat?
 The same food provided by fosters/rescue.

Where would dog sleep:
 In my room/bed or on their own bed.

Play & exercise:
 Daily walks, playing outside with my 9 year old son, and going to dog parks/dog runs.

How will you exercise your dog?
 Both on leash and restrained to the yard

Fenced yard?

 No, I don’t have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?

Living arrangements:
 Currently renting while we purchase

Landlord info:
 {If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67}

May we contact your landlord?

Lease allow dogs:

Landlord permission:

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 I plan to add a fence to the front yard next summer. There are no fixtures.

Household members:
 {Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75}

Everyone in household agrees about adopting a corgi?
 Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi.

May we do a home visit?

 Yes, I will allow LPWCR representatives to inspect my home prior to allowing me to adopt a Pembroke.

Who will be responsible for the adopted corgi’s care?
 Me, Kelsey

Willing to train children?
 Yes, my son has been trained to be "gentle" and respectful of animals since he was a toddler. Many family members have animals, and he has learned a lot about how to interact.

Any allergies?

 No one is allergic.

Current pets:

{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80}

Current pets dog friendly?

 Yes, all of our current pets are friendly toward dogs.

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Yes! We will work with trainers and vets.

Lifetime commitment to Pembroke?

 Yes, I am willing to commit to this dog for the rest of its life.

Return to Lakeshore if unable to care for Pembroke?
 Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it.

Understand no guarantees?

 Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt.

Carefully considered the pluses and minuses of adopting a pet?
 Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences.

Personal references:
 {Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87}